Individual provider · Type 1 NPI
Andrea Nicole Lopez, DO
Student in an Organized Health Care Education/Training Program · Loma Linda, CA
Practice location
11234 Anderson St Bldg Suitec
Loma Linda, CA 92350-1716
Mailing address
10935 Terra Vista Pkwy Apt 103
Rancho Cucamonga, CA 91730-6350
Other practice locations
- 1800 N California St, Stockton, CA 95204-6019 · (209) 547-5716
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 20A22120 (CA) |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1104576909
Andrea Nicole Lopez, DO's National Provider Identifier is 1104576909, issued on Mar 24, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Loma Linda, CA. The record was last updated on May 5, 2025.